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CMN 577 Final Exam Questions And Answers 100% Verified And Updated. An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those lesion measures 1.6 cm. What is the child at risk for? a. Normal finding b. Neurofibromatosis c. Melanoma d. Tinea versic...

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  • 23 januari 2025
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CMN 577 Final Exam Questions And
Answers 100% Verified And Updated.



An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of
those lesion measures 1.6 cm. What is the child at risk for?
a. Normal finding
b. Neurofibromatosis
c. Melanoma
d. Tinea versicolor - Answer✔Neurofibromatosis
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not
responded to standard treatment. Which of the following considerations is not true for
prescribing Isotretinoin?
a) Isotretinoin can be prescribed by any healthcare provider.
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one of which can be
abstinence.
c) Before use of Isotretinoin, the patient must sign an informed consent and become enrolled in a
monitoring program called iPledge.
d) If a patient's acne relapses on Isotretinoin, then they may complete a second round of the
therapy. - Answer✔a) Isotretinoin can be prescribed by any healthcare provider.
A 1-month-old female presents to your clinic with her mother for a well child check. The mother
reports a bright red, rubbery appearing bump that is located on her daughter's neck. She says that
it started out as a flat red area, but now it has grown and is sticking out. This most likely
represents which type of birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi - Answer✔c) Hemangioma
You are seeing a 6-year-old male who was brought in by his mother. The mother reports they
recently took a family vacation last week and stayed in a few different hotels. He developed

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, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED.

significant itching and a rash the day of returning home. He is noted to continuously scratch
during the visit. The father and older sister also have a similar rash that developed at the same
time. On exam, you note linear burrows around his wrists, ankles, in the webbing of his fingers,
and axillary folds with excoriations present. There is no facial involvement. He has never had
anything like this before. The most likely diagnosis would be:
A. Atopic Dermatitis
B. Impetigo
C. Molluscum Contagiosum
D. Scabies - Answer✔D. Scabies
A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears
as erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and
umbilicus. She reports this has been going on for about 2 years and tends to come and go. The
mother reports her father has psoriasis. The patient is not on any medications and she is not
currently treating her rash with anything. She has tried various moisturizers in the past but has
never had a prescription to treat this. She weighs 130 pounds and has no allergies. You diagnose
her with psoriasis with body surface area involvement less than 10%. Which is the best option as
first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg x 3 days -
Answer✔B. Clobetasol (Temovate) 0.05% ointment
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his
mouth and nose. The mother states her son started attending daycare a couple of weeks ago and
noticed the sores starting to develop earlier this week. Which highly contagious childhood illness
do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum - Answer✔A. Impetigo
Blepharitis that occurs in children has a strong correlation with which disease?
a. Rosacea
b. Eczema
c. Psoriasis
d. Pityriasis rosea - Answer✔a. Rosacea

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, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED.

A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on the physical
exam?
A) Port wine nevus on the face
B) Mongolian spot
C) Allergic shiners
D) Retractions - Answer✔A) Port wine nevus on the face
1. What skin disorder is seen with short hyphae and yeast on microscopic examination of scales?
A. Tinea Versicolor
B. Pityriasis Rosea
C. Psoriasis
D. Atopic Dermatitis - Answer✔A. Tinea Versicolor
A mother brings her two-month-old to your clinic to establish care after a recent move. She asks
you about a raised red "mole-like" spot on the infant's forehead that has grown in size over the
last few weeks. You determine it is most likely a hemangioma. The mother then asks what the
treatment is. What would be an appropriate response?
A. Watchful approach is appropriate as these lesions typically fade as the child ages
B. Oral steroids can be taken to shrink the size of the lesion
C. Topical antibiotics to treat the infection causing the redness
D. Surgical intervention to remove the lesion - Answer✔A. Watchful approach is appropriate as
these lesions typically fade as the child ages
1.At the 6-month checkup a mother is inquiring about a bulge in her son's right groin. She states
it comes and goes and seems to disappear when he is fussing. The bulge is non tender when
palpated and has a 'silk glove' feel. The findings are most consistent with which type of hernia?
a. hiatal
b. umbilical
c. inguinal
d. paraesophageal - Answer✔c. inguinal
A 62-year-old female with osteoarthritis of her left knee is prescribed meloxicam (Mobic) 7.5mg
PO daily for pain; when reviewing the patient's history and developing the patient's treatment
plan, the nurse practitioner knows to assess for:
A. History of GERD and advice the patient to eat bland foods to prevent GI complications
B. History of peptic ulcer disease and prescribe a PPI along with an NSAID


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, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED.

C. The patient's pain level and start her on the highest dose of NSAID to knock out the patient's
pain
D. History of peptic ulcer disease and advice the patient to take meloxicam on an empty stomach
- Answer✔B. History of peptic ulcer disease and prescribe a PPI along with an NSAID
You are evaluating a 4-year-old child for possible Duchenne muscular dystrophy (DMD). All of
the following are characteristic of DMD except:
A. Delayed motor milestones
B. Excessive lumbar lordosis
C. Increased gastrointestinal motility
D. Walking on toes - Answer✔C. Increased gastrointestinal motility
Your next patient is a 60-year-old female. At the patient's yearly wellness exam, she mentions
that her hands and fingers have started having pain. This pain is usually in the mornings and
improve with increased movement as the day goes on. She can hardly open her bottle of water
when the pain is more severe, and the joints in her fingers appear swollen. She also says as the
months go by, she feels her pain is steadily getting worse. What type of arthritis does the
advanced practice nurse suspect?
A. Rheumatoid Arthritis
B. Old Age
C. Psoriatic Arthritis
D. Gouty Arthritis - Answer✔A. Rheumatoid Arthritis
A bone mineral density T score of -1.5 indicates:
A. Osteoporosis
B. Normal T score
C. Osteopenia
D. Severe osteoporosis - Answer✔C. Osteopenia
Which of the following statements about slipped capital femoral epiphysis (SCFE) is TRUE?A.
SCFE is caused by the displacement of the distal femoral epiphysis in relation to a disruption in
the growth plate.
B. SCFE is mostly seen in underweight, adolescent females.
C. Initial treatment of SCFE is non-weight bearing status with the use of crutches and a referral
to an orthopedic surgeon.
D. Upon physical examination, the hip reveals a limited external rotation. - Answer✔C. Initial
treatment of SCFE is non-weight bearing status with the use of crutches and a referral to an
orthopedic surgeon.

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